Eur Rev Med Pharmaco
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Eur Rev Med Pharmaco · Jul 2013
Multicenter StudySafety of intra-articular hip injection of hyaluronic acid products by ultrasound guidance: an open study from ANTIAGE register.
We developed a standardized technique for ultrasound guided intra-articular injection of the hip joint with the purpose of extending routine intra-articular injection of hyaluronans and steroids to the hip, as commonly used in the knee. In this article we report the safety of this technique in an extended series of patients. ⋯ The administration of hyaluronans under ultrasound-guided intra-articular injection is a safe technique for treatment of rheumatic diseases of the hip.
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Eur Rev Med Pharmaco · Jul 2013
Review Meta AnalysisUpdate on post-traumatic stress syndrome after anesthesia.
Between 0.5% and 2% of surgical patients undergoing general anesthesia may experience awareness with explicit recall. These patients are at a risk for developing anxiety symptoms which may be transient or can lead to post-traumatic stress disorder (PTSD). ⋯ Whenever an awareness episode is suspected, a psychological assessment with at least three interviews at 2-6 h, 2-36 h and 30 days must be performed in order to collect symptoms associated with both early and delayed retrieval of traumatic event. As a dissociative state could hide the expression of reactive symptoms after intraoperative awareness, future studies should be focused on detecting dissociative symptoms in order to carry out a prompt and appropriate treatment aimed at avoiding long-term psychological disability.
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Eur Rev Med Pharmaco · Jul 2013
Randomized Controlled TrialRemifentanil without muscle relaxants for intubation in microlaryngoscopy: a double blind randomised clinical trial.
We aimed to compare the effect of remifentanil without muscle relaxant with succinylcholine for intubation in microlaryngoscopy. ⋯ It was concluded that remifentanil without muscle relaxants provides similar intubating conditions as that provided by succinylcholine, and remifentanil is superior to succinylcholine with regard to haemodynamic stability and recovery duration.
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Eur Rev Med Pharmaco · Jul 2013
Identification of the hydration state in emergency patients: correlation between caval index and BUN/creatinine ratio.
Dehydration is a frequent clinical problem. No single laboratory value has been found to be accurate; however, the BUN/Creatinine Ratio appears the most sensitive parameter. The respiratory variation (Caval Index, CIn) in the diameter of the inferior vena cava has been investigated as a non-invasive marker for the intravascular volume status. ⋯ Our study seems to support the hypothesis that CIn can be a useful bedside marker to predict dehydration in Emergency Department (ED) patients.
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Eur Rev Med Pharmaco · Jul 2013
Supraorbital and infraorbital nerve blockade in migraine patients: results of 6-month clinical follow-up.
Nerve blockades are used for the treatment of acute migraine episodes in emergency room conditions and beneficial results are obtained from this clinical use. Although this is the case, there are limited numbers of studies investigating the long-term effects of such an approach. ⋯ Injecting 1% of lidocaine to supraorbital and infraorbital nerve for three times prevents the acute migraine episodes effectively during the 6-months of follow-up without having any significant side effects.